Do I need to pump after feeding?

[fairgame84]

Baby has a shallow latch and possible tongue tie, we're due to be seen in clinic in 10 days.
She's breastfeeding for a long time (up to an hour) and having formula top ups after as she's still hungry, they think she's struggling to effectively remove milk due to the latch/tie. I'm offering both breasts at each feed.

Do I need to pump after she's fed to remove the milk she hasn't managed to and to maintain a good supply?

That is what the hospital recommended I do. However, it’s really hard. It doesn’t give you time to recover. I think my supply suffered because I didn’t have time to eat, drink and sleep between the feeding cycles. My mental health really suffered too and I stopped breastfeeding at 5 weeks because it was just too much.

It's hard going. I stopped breastfeeding and was pumping when I could but I've had to restart breastfeeding again as they won't see baby in tongue tie clinic unless she's breastfed. I had to stop due to pain and my mental health because of the feeding problems. They initially said there was no tongue tie but I went back to the feeding specialist at the hospital because nothing was improving on bottles and now she thinks there might be a posterior tongue tie.
I really don't want to pump as well as breastfeed and bottle top ups but I guess I need to do it just to get through until the clinic appointment 😩

How old is baby?

@Harrysmummy246 3 weeks

At this point, you're still establishing supply so if baby isn't removing milk effectively, you probably do also need to pump. This can then be fed before formula to top up.

But, feeding for a long time isn't indicative of TT. What's weight doing? Nappy output?

And if they've only looked without in any way feeling in the mouth, they can't say if there is TT or not

They've had a good feel in the mouth and lifted up her tongue and looked at her palate etc.
3 people checked for TT in the first 10 days then we went for a recheck with a specialist midwife last week as things haven't improved and she thinks there is a posterior TT but also she was concerned about tension in baby's jaw so referred us to the TT clinic at the children's hospital.

We've had ongoing issues with shallow latch, hunger after long feeds, wind, clicking on bottle feeds, fussing at the breast, being unsettled during and after feeds, occasional vomiting.
They've ruled out reflux and allergies.

Weight gain is good and nappies are fine but we've been topping up after feeds anyway since early on. My supply has always been good. It's reduced a bit over the past week due to not having time to sit and pump but it's increasing again now with feeding and pumping with a wearable pump.

Does sound like they're investigating properly. There are lots of resources on top ups etc on Instagram etc. But sounds like, for now, you do need to keep pumping (ps when you do stop, do it gradually, mastitis is not fun)

Haven't had a baby with tongue tie. But have had to pump for other reasons with dc1 I found pumping at the same time as feeding helped with supply and meant I wasn't spending hours pumping.
With dt I obviously couldn't pump at the same time as feeding so bf advisor said I'd probably get more milk doing pumps between feeds rather than after a feed. So I created set times where I'd pump (at least an hour after feeds) which helped greatly with supply.